PEARL MAWST (NPI# 1164878328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164878328 |
Entity Type | Individual |
Full Name | PEARL MAWST |
Practice Address |
3212 Vollmer Rd Ste A Olympia Fields IL 60461-1122 |
Practice Telephone | 7084819800 |
Practice Fax Number | 7084819808 |
Mailing Telephone | 7084819800 |
Mailing Fax Number | 7084819808 |
Enumeration Date | 2016-05-06 |
Last Update Date | 2016-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 372969 | IL | Technologists, Technicians & Other Technical Service Providers |
Street Address |
3212 VOLLMER RD STE A |
City | OLYMPIA FIELDS |
State | IL |
Zip Code | 60461-1122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
Find all providers in zip 60461 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609227206 | Kanwarjit Gill | Radiologic Technologist | 8207 Lake St, River Forest, IL 60305-1619 | 2016-06-24 |
1790178374 | Karen Reely | Radiologic Technologist | 1009 Hunters Trl, Mascoutah, IL 62258-2880 | 2015-03-06 |
1417226853 | Chicago Diagnostic Inc | Radiologic Technologist | 818 N California Ave, Chicago, IL 60622-8336 | 2011-12-14 |
1114167319 | Shaunda Marie Farrington | Radiologic Technologist | 1250 Woodridge Ct, Decatur, IL 62526-1390 | 2009-02-27 |
1609035393 | Curewell Diagnostic Services LLC | Radiologic Technologist | 5502 N Menard Ave, Chicago, IL 60630-1202 | 2008-06-06 |
1073785267 | Patricia Christine Byrne | Radiologic Technologist | 28w489 Warrenville Rd, Warrenville, IL 60555-3435 | 2008-03-27 |
1710164116 | Bettina Brydon | Radiologic Technologist | 2n345 Prairie Ave, Glen Ellyn, IL 60137-2854 | 2008-01-28 |
1730218652 | Radiologic Interpretations of Southern Illinois Ltd | Radiologic Technologist | 1200 Cedar Court, Carbondale, IL 62901-5334 | 2007-03-05 |
1770675498 | Northwest Medical Imaging | Radiologic Technologist | 2333 N Harlem Ave, Chicago, IL 60707-2718 | 2006-09-29 |
1992769277 | Mobile Imaging Solutions, Inc. | Radiologic Technologist | 149 Harvest Glenn Dr, Davis Junction, IL 61020-9797 | 2006-04-13 |
Find all providers with the same taxonomy |
City | OLYMPIA FIELDS |
Zip Code | 60461 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.